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NPI 1154719748

NPI 1154719748 : AMANDA S. HOOD : MACON, GA

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General NPI Number Information
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    NPI Number           |    1154719748
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA S. HOOD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/05/2015
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    501 COLLEGE ST 
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    City                 |    MACON
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    State                |    GA
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    Zip                  |    31201-7439
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    Country              |    US
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    Telephone            |    478-550-1170
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    Fax                  |    478-216-1915
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5369 
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    City                 |    MACON
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    State                |    GA
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    Zip                  |    31208-5369
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    Country              |    US
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    Telephone            |    478-550-1170
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFT001398
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    License Number State |    GA
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